Vision Source Of Liberal Inc

LBN: Vision Source Of Liberal Inc
Vision Source Of Liberal Inc is an health care organization with primary practice located at 2136 N. Kansas Ave , Liberal KS 67901-2136. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vision Source Of Liberal Inc can be contacted via phone (620) 624-3841, or through Graham, Steven D via phone (620) 624-3841.

Contact Information

Primary practice address
2136 N. Kansas Ave Liberal KS 67901-2136
Phone: (620) 624-3841
Fax: (620) 624-0241
Website:
Map and Directions
Authorized official contact:
Name: Graham, Steven D Doctor of Optometry (OD)
Phone: (620) 624-3841

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1366-3 Kansas

Profile Details

NPI number 1447569892
LBN Legal business name Vision Source Of Liberal Inc
DBA Doing business as
Authorized official Graham, Steven D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2010
Last updated Aug 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447569892 NPPES
Kansas Other 052571 MEDICARE PTAN
Kansas Other 1013931153 MEDICARE PTAN

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